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1255992798
JIMMY JOSUE MADRID
CHANDLER, AZ
NPI
1255992798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
JIMMY JOSUE MADRID
4616 W BOSTON ST
CHANDLER, AZ 85226-4837
Phone number: 480-221-2475
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Mailing Address
JIMMY JOSUE MADRID
11610 W PALM BROOK DR
AVONDALE, AZ 85392-3836
Phone number:
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